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KIMBERLY ANNE VAN GENDEREN
NPI 1669601118
Counselor - Mental Health in Rancho Cucamonga, CA

Active since July 06, 2009
9500 ETIWANDA AVE, RANCHO CUCAMONGA, CA 91739(909) 463-5206 Get Directions Write a Review

NPPES record last updated: July 6, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberly Anne Van Genderen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY ANNE VAN GENDEREN (NPI 1669601118) is an individual mental health provider in Rancho Cucamonga, California and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1669601118
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY ANNE VAN GENDEREN
Location Address9500 ETIWANDA AVERancho Cucamonga, CA 91739-9662
Mailing Address9500 Etiwanda AveRancho Cucamonga, CA 91739-9662 · (909) 463-5206
Phone(909) 463-5206
Sole ProprietorYes
Enumeration DateJuly 6, 2009
✔ NPI 1669601118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
9500 ETIWANDA AVE, Rancho Cucamonga, CA 91739
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS SANDRA ALCANTAR
Social Worker (Clinical)
9500 ETIWANDA AVE
RANCHO CUCAMONGA, CA 91739
San Bernardino County (909) 463-5284
MR. WILLIAM RANDOLPH GAUSE N.P.
Nurse Practitioner
9500 ETIWANDA AVE
RANCHO CUCAMONGA, CA 91739
San Bernardino County (909) 463-5003
DR. STACEY WARING PSY.D.
Psychologist (Forensic)
9500 ETIWANDA AVE
RANCHO CUCAMONGA, CA 91739
San Bernardino County (909) 463-5179
PHYLICIA SMITH
Licensed Psychiatric Technician
9500 ETIWANDA AVE
RANCHO CUCAMONGA, CA 91739
San Bernardino County (909) 463-5234
FILLMORE LEWIS SMILEY IV
Behavior Analyst
9500 ETIWANDA AVE
RANCHO CUCAMONGA, CA 91739
San Bernardino County (909) 463-5214
MR. JOEL MARTINEZ
Counselor (Mental Health)
9500 ETIWANDA AVE
RANCHO CUCAMONGA, CA 91739
San Bernardino County (909) 463-5392
DR. ERIKA KRISTEN WIDERA PSY.D.
Psychologist
9500 ETIWANDA AVE
RANCHO CUCAMONGA, CA 91739
San Bernardino County (909) 463-5196
GARTH BROWN DDS
Dentist (General Practice)
9500 ETIWANDA AVE
RANCHO CUCAMONGA, CA 91739
San Bernardino County (909) 463-5088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Van Genderen's NPI number?

The NPI number for Kimberly Van Genderen is 1669601118. It was assigned to this individual provider in the NPPES registry on July 6, 2009.

Where is Kimberly Van Genderen located?

Kimberly Van Genderen practices at 9500 Etiwanda Ave, Rancho Cucamonga, CA 91739. The listed phone number is (909) 463-5206.

What is Kimberly Van Genderen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kimberly Van Genderen was last updated on July 6, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.